Allergy Clinic              Prof Jonathan Brostoff

       Tackle the causes as well as the symptoms                 Dr Michael Radcliffe

 

Allergy Clinics

Allergy & Hypersensitivity  |  The Allergy Epidemic  |   Allergy Treatment  Allergy Tests

 

NHS Hospitals providing allergy services

 

Hospital of St John & St Elizabeth, St John's Wood, North London

 

Sarum Road Private Hospital, Winchester, Hampshire

 

 

 

 

 

Conditions

 

 

 

Hay Fever and Rhinitis

 

 

Asthma and its relationship to allergy

 

 

Eczema and Dermatitis

 

 

Food Allergy and Intolerance

 

 

Hives, nettle rash and allergic swelling of skin and mucous membranes

 

 

Anaphylaxis; What causes it and how to cope with it

 

 

Lip, tongue and mouth symptoms caused by fruits and vegetables

 

 

Irritable Bowel Syndrome, Colitis and Crohn's Disease: Are they caused by allergy?

 

 

 

 

 

 

 

 

 

Allergens

 

 

 

The House Dust Mite and how to avoid it

 

 

Pollens, Pollination chart, and UK Pollen Forecast

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



Symptoms Diagnosis Treatment

Symptoms of Food Intolerance

Food intolerance can cause a surprisingly wide variety of symptoms.  However certain features concerning the timing and occurrence of symptoms are helpful when trying to identify possible causes.

  • Symptoms are not immediate

The time relationship between eating the food and getting symptoms depends on many factors.  After four or more days of deliberate and scrupulous avoidance of the food, symptom onset ranges from almost immediately after eating the food to several hours.  However time relationships are quite different when the food is being consumed regularly and has not been excluded.   For example, if a troublesome food has been avoided for a number of days and is then eaten again there may be a brisk and clear-cut symptom response lasting a day or so.  If however a further amount is eaten a day or so later (once the effects of eating the earlier amount have worn off) there may be no noticeable reaction.  This is described as masking, a kind of immunity that may be caused by the fact that some of the troublesome food has not been fully eliminated from the bowel.

Case History

  • Symptoms are usually multiple

In food intolerance a very much wider range of symptoms occurs than in the case of food allergy and multiple symptoms are usual. The conditions listed have been shown by high quality scientific trials to be either caused or made worse by food intolerance.

Respiratory

Asthma, rhinitis (nasal allergy), glue ear

Gastrointestinal

Infantile colitis and colic, Crohn's disease, Recurrent abdominal pain (especially in children), diarrhoea and constipation, Irritable bowel syndrome

Skin

Eczema, urticaria

Nervous system

Headache and migraine, hyperactivity

Heart / circulation

Palpitations (heart rhythm abnormalities)

Musculoskeletal

Unexplained joint pain, some kinds of arthritis, unexplained muscle pain

Psychiatric

'Somatisation Disorder'
Fatigue and hypersomnia (an inappropriate need for sleep)

These conditions are shown linked to particular organ systems (gastrointestinal, central nervous, cardiovascular, etc.) thus conforming to medical convention.  However in practice, when food intolerance is involved, such conditions rarely exist alone; the typical sufferer having symptoms relating to a number of different organ systems.  For example, a typical food intolerance sufferer may suffer migraine, unexplained fatigue (central nervous system symptoms) abdominal pain, bloating, frequent diarrhoea (gastrointestinal system symptoms) unexplained muscle and joint pains (musculoskeletal system symptoms).

  • Symptoms may have been thought to be psychosomatic

Doctors use the term somatisation disorder to explain the patient with a wide range of apparently unrelated symptoms who has no abnormal pathological tests.  The term implies an illness is that is psychosomatic caused by psychological distress manifesting itself through the soma (body) as opposed to through the psyche (mind). 

There is, of course, no doubt that psychological mechanisms frequently produce bodily symptoms and that some illnesses are genuinely psychosomatic.   However there is also strong evidence that some of the symptoms of somatisation disorder may be the symptoms of allergic responses that are beyond the understanding of immunology, as we know it, responses which are capable of producing both bodily and mental symptoms.

  • Brief elimination may cause withdrawal effects

Worsening or precipitation of symptoms may result from the deliberate or accidental avoidance of the culprit food. In this situation, reaction to the food often occurs when it is omitted from the diet, a kind of withdrawal effect.  This can explain why a migraine sufferer may find that missing breakfast is unwise as a migraine invariably follows.  

Very careful elimination and challenge testing of that patient's regular breakfast foods then usually identifies the culprit food, for example milk, wheat or corn.
Case History

  • Brief elimination followed by re-introduction results in a swifter and stronger response

This is the basis for the elimination diet that is necessary to confirm the existence of the condition.

 
 

 

 

Last updated:
April 11, 2004

 

DISCLAIMER

The information contained within this web site is for educational and information purposes only and is not intended to replace medical advice or treatment.  Professor Brostoff and Dr Radcliffe intend that the information given should be accurate, however errors can occur.  Therefore no warranty of any kind, whether expressed or implied, is given in relation to this service.  In no event shall Professor Brostoff or Dr Radcliffe be liable for any consequential damages arising out of any use of, or reliance on any content or materials contained herein, neither shall Professor Brostoff or Dr Radcliffe be liable for any content of any external internet sites listed nor do they endorse any commercial product or service mentioned or advised.  Always consult your own General Medical Practitioner if you are in any way concerned about your health.